Performance and benefit as outcome measures following cochlear implantation in non-traditional adult candidates: a pilot study

Peasgood, Alison; Brookes, Natalie; Graham, John

doi:10.1002/cii.79

Cited by 10 publications

(16 citation statements)

References 28 publications

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“…A more robust way of assessing patient-reported benefits is to use validated quality of life tools for assessing benefit. A mean Glasgow Benefit Inventory score of 38.9 after CI was reported by one group, comparable to the mean score of 40 reported for "traditional" CI recipients [Peasgood et al, 2003]. Straatman et al [2014] also reported improvement in both disease-specific and generic quality of life questionnaire scores in a group of 28 patients, all of whom had some auditory input in the past and used primarily auraloral communication.…”

Section: Discussionsupporting

confidence: 53%

“…Most NT recipients use their cochlear implant regularly [Zwolan et al, 1996]. The literature indicates high satisfaction ratings similar to those of conventional CI candidates; mean satisfaction ratings of between 83 and 97% have been reported [Peasgood et al, 2003;Chee et al, 2004]. A more robust way of assessing patient-reported benefits is to use validated quality of life tools for assessing benefit.…”

Section: Discussionmentioning

confidence: 99%

“…More recent studies report greater improvements in speech perception outcomes, although not to the same extent as conventional cochlear implant recipients [Teoh et al, 2004a;Santarelli et al, 2008]. Nevertheless, NT cochlear implant recipients have been shown to have significant improvement in quality of life [Peasgood et al, 2003;Straatman et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Assessment and Outcome in Non-Traditional Cochlear Implant Candidates

et al. 2016

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The objectives of this study were to assess: (i) patient expectations met as a measure of outcome in early-deafened, late-implanted (non-traditional) cochlear implant recipients and (ii) pre-implantation predictive factors for postoperative speech perception. The notes of 13 recipients were retrospectively reviewed. The mean age at onset of profound deafness was 1.5 years (range 0-6). The mean age at implantation was 37 years (range 22-51 years). Patient expectations were assessed pre-operatively and 1 year after implantation. They were met or exceeded in 129/140 (92%) domains overall. A higher Speech Intelligibility Rating and audiovisual City University of New York sentence score before implantation were found to be positive predictive factors for improved speech discrimination after cochlear implantation.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessment and Outcome in Non-Traditional Cochlear Implant Candidates

et al. 2016

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“…Consequently, they were often considered poor cochlear implant (CI) candidates. At the same time, studies reported that, in spite of these poor outcomes, satisfaction rates were high [Hinderink et al, 1995;Kaplan et al, 2003;Peasgood et al, 2003;Zwolan et al, 1996]. As speechcoding strategies evolved towards SPEAK, CIS and ACE from the late 90s onwards, studies showed that more beneficial results were possible for prelingually deafened adults [Schramm et al, 2002;Waltzman and Cohen, 1999;Waltzman et al, 2002].…”

Section: Introductionmentioning

confidence: 99%

Late Cochlear Implantation in Early-Deafened Adults: A Detailed Analysis of Auditory and Self-Perceived Benefits

2017

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Objectives: It is known that early-deafened cochlear implant (CI) users are a very heterogeneously performing group. To gain more insight into this population, this study investigated (1) postoperative changes in auditory performance over time based on various outcome measures, focusing on poor performers, (2) self-perceived outcomes, (3) relations between auditory and self-perceived outcomes, and (4) preimplantation factors predicting postoperative outcomes. Methods: Outcomes were assessed prospectively in a group of 27 early-deafened, late-implanted CI users, up to 3 years after implantation. Outcome measures included open-set word and sentence recognition, closed-set word recognition, speech tracking and a questionnaire on self-perceived outcomes. Additionally, the relative influence of 8 preimplantation factors on CI outcome was assessed with linear regression analyses. Results: Significant improvements were found for auditory performance measures and most of the questionnaire domains. Significant changes of the closed-set word test, speech tracking and questionnaire were also found for a subgroup of poor performers. Correlations between auditory and self-perceived outcomes were weak and nonsignificant. Preoperative word recognition and preoperative hearing thresholds, both for the implanted ear, were significant predictors of postoperative outcome in the multivariable regression model, explaining 63.5% of the variation. Conclusions: Outcome measurement in this population should be adjusted to the patients’ individual performance level and include self-perceived benefit. There is still a need for more knowledge regarding predictors of CI outcomes in this group, but the current study suggests the importance of the preoperative performance of the ear to be implanted.

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“…Peasgood and colleagues 50 found no speech recognition in adults with late cochlear implants, and much less favorable results than are associated with cochlear implants in general.…”

Section: Duration Of Preimplant Deafnessmentioning

confidence: 97%

Auditory brainstem implants in neurofibromatosis Type 2: is open speech perception feasible?

Matthies¹,

Brill²,

Várallyay

et al. 2014

JNS

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Object Patients with bilateral auditory nerve destruction may perceive some auditory input with auditory brainstem implants (ABIs). Despite technological developments and trials in new stimulation sites, hearing is very variable and of limited quality. The goal of this study was to identify advantageous and critical factors that influence the quality of auditory function, especially speech perception. Methods The authors conducted a prospective study on ABI operations performed with the aid of multimodality neuromonitoring between 2005 and 2009 in 18 patients with neurofibromatosis Type 2. Outcome was evaluated by testing word recognition (monotrochee-polysyllabic word test at auditory-only mode [MTPa]) and open speech perception (Hochmair-Schulz-Moser [HSM] sentence test), both in pure auditory mode. The primary outcome was the HSM score at 24 months. The predictive meaning of general clinical data, tumor volume, number of active electrodes, duration of deafness, and early hearing data was examined. Results In 16 successful ABI activations the average score for MTPa was 89% (SD 13%), and for HSM it was 41% (SD 32%) at 24 months. There were 2 nonresponders, 1 after radiosurgery and the other in an anatomical variant. Direct facial nerve reconstruction during the same surgery was followed by successful nerve recovery in 2 patients, with a simultaneous very good HSM result. Patients' age, tumor extension, and tumor volume were not negative predictors. There was an inverse relationship between HSM scores and deafness duration; 50% or higher HSM scores were found only in patients with ipsilateral deafness duration up to 24 months. The higher the deafness sum of both sides, the less likely that any HSM score will be achieved (p = 0.034). In patients with total deafness duration of less than 240 months, higher numbers of active electrodes were significantly associated with better outcomes. The strongest cross-correlation was identified between early MTPa score at 3 months and 24-month HSM outcome. Conclusions This study documents that open-set speech recognition in pure auditory mode is feasible in patients with ABIs. Large tumor volumes do not prevent good outcome. Positive preconditions are short ipsilateral and short bilateral deafness periods and high number of auditory electrodes. Early ability in pure auditory word recognition tests indicates long-term capability of open speech perception.

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Performance and benefit as outcome measures following cochlear implantation in non-traditional adult candidates: a pilot study

Abstract: Objectives To measure the reported benefit in quality of life (QoL)

Cited by 10 publications

References 28 publications

Assessment and Outcome in Non-Traditional Cochlear Implant Candidates

Assessment and Outcome in Non-Traditional Cochlear Implant Candidates

Late Cochlear Implantation in Early-Deafened Adults: A Detailed Analysis of Auditory and Self-Perceived Benefits

Auditory brainstem implants in neurofibromatosis Type 2: is open speech perception feasible?

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